{"data":{"id":"us-in/ic-5-10-8.1-8","jurisdiction":"us-in","citation":"IC 5-10-8.1-8","heading":"Permitted forms","body":"Sec. 8. A provider shall submit only the following forms for payment by an administrator:\n(1) CMS-1500.\n(2) CMS-1450 (UB-04).\n(3) American Dental Association (ADA) claim form.","path":["TITLE 5. STATE AND LOCAL ADMINISTRATION","ARTICLE 10. PUBLIC EMPLOYEE BENEFITS","Chapter 8.1. State Employee Health Benefits; Provider Payment"],"source_url":"https://iga.in.gov/ic/2026/Title_5.html#5-10-8.1-8","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-02T16:11:39Z","sha256":"605d232aec4e65e471046fc87e690c34d7dadce9923dc4aa807ac9a540a69ace","source_id":"us-in","stale":false,"prev":"us-in/ic-5-10-8.1-7","next":"us-in/ic-5-10-8.5-0.1"},"notice":"GroundRules: Original legal text. Not legal advice."}